Organization
BODYWORX PHYSICAL THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLICIA L HAWKINS PT (OWNER/MANAGER)
(405) 455-7860
Entity
Organization
Contact information
Practice address
5617 S. E. 67TH STREET, OKLAHOMA CITY, OK 73135
(405) 455-7860
(405) 455-7865
Mailing address
5617 S. E. 67TH STREET, OKLAHOMA CITY, OK 73135
(405) 455-7860
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4120
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200518240A
—
OK
Enumeration date
10/02/2013
Last updated
03/11/2015
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